Provider Demographics
NPI:1205306412
Name:WINKFIELD, ANNETTE (MS, DCP, ST)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:WINKFIELD
Suffix:
Gender:F
Credentials:MS, DCP, ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 NORTHRIDGE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-3286
Mailing Address - Country:US
Mailing Address - Phone:678-437-8801
Mailing Address - Fax:
Practice Address - Street 1:2300 W PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-6713
Practice Address - Country:US
Practice Address - Phone:678-437-8801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty